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					                           Office of the Chief Medical Examiner
                                         CB # 7580 Chapel Hill, NC 27599-7580
                                                Telephone 9199662253
                                    REPORT OF AUTOPSY EXAMINATION
DECEDENT
Document Identifier      B201100629
Autopsy Type     ME Autopsy
Name      Devon Mitchell
Age    19 yrs
Race    Black
Sex    M
AUTHORIZATION
Authorized By         Jonathan Privette MD              Received From          Wake
ENVIRONMENT
Date of Exam        02/11/2011                       Time of Exam      10:00
Autopsy Facility       Office of the Chief Medical Examiner Persons Present             Dr. Deborah Radisch, Ms. Hilary
Sheaves, Ms. Molly Hupp, A. Humphrey of the Wake County CCBI
CERTIFICATION
Cause of Death
Multiple gunshot wounds of the head and chest
The facts stated herein are correct to the best of my knowledge and belief.
Digitally signed by
Jonathan Privette MD 09 May 2011 12:10
Deborah L. Radisch MD MPH 09 May 2011 16:45
DIAGNOSES
Gunshot wound of the head (N)
  Mandible fracture
  Multiple complex skull fractures
    Laceration of the left temporal lobe of the brain
  Laceration of the brainstem, cerebellum and right occipital lobe
Gunshot wound of the left anterior chest (J), exiting the right posterior chest
  Perforation of the left lung, pericardium, heart, diaphragm
    Left hemothorax
    Hemopericardium
  Rib and vertebra fractures
Gunshot wound of the left arm (D) with re-entry of the lateral left chest exiting the lower left back
  Rib fractures
  Perforation and lacerations of the left lung, diaphragm, liver, stomach and left kidney
    Hemoperitoneum
    Left hemothorax
    Retroperitoneal hemorrhage
Gunshot wound of the left lateral chest (H) exiting the right anterior chest
  Perforation and lacerations of the diaphragm, spleen, liver, stomach
    Hemoperitoneum
  Rib fractures
Gunshot wound of the right chest (L)
  Rib fractures
  Perforation and lacerations of the right lung, liver, right kidney
    Right hemothorax
    Hemoperitoneum
    Retroperitoneal hemorrhage


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Gunshot wound of the left chest (K)
  Rib fracture
Multiple gunshot wounds of the chest and upper extremities (A-C,E,I), exiting and non-exiting
  Skin/soft tissue lacerations
Grazing gunshot wounds of the posterior left hand, right arm and chest (F,G,M)
Abrasions and lacerations of the anterior and posterior chest and the upper extremities




IDENTIFICATION
Body Identified By
Papers/ID Tag

EXTERNAL DESCRIPTION
Length        67 inches
Weight        142 pounds
Body Condition          Intact
Rigor       2+
Hair       Black
Eyes       Brown
Teeth       Natural in good repair
Received in a black disaster pouch is the body of a well developed, well nourished adult black male appearing
compatible with the reported age. The body is clad in pants, boxers, a shirt and jacket. The shirt and jacket exhibit
multiple holes several of which correspond to the gunshot wounds described below. Soot and searing are not identified
grossly; however, detailed analysis is not performed at autopsy. Accompanying the body is a black rope with a white
metal coin medallion, a bracelet with letter blocks on the right wrist, an electronic device and $.25. Identifying marks
and scars consist of a well healed scar on the right shoulder and a tattoo on the posterior right hand. There is no
evidence of medical intervention.

INJURIES
The gunshot wounds are lettered for convenience of description. The order of the lettering is not intended to indicate
the order in which the injuries occurred. None of the following gunshot wounds has associated soot or stippling.

A deformed copper projectile jacket is lying on the body. There are multiple abrasions and small lacerations of the
upper body and arms. These wounds most likely represent injury resulting from ricochet of fragmented projectiles
impacting the body.


GUNSHOT WOUND A:

Located on the left upper posterior chest at a point 9 1/2" below the top of the head and 4" left of posterior midline is an
entrance gunshot wound that measures 1" x 1/2".

The wound track lacerates the skin, soft tissue and musculature of the left back. There is extensive abrasion and
contusion associated with the shallow wound path.

Located on the left posterior chest at a point 13" below the top of the head and 3 1/2" left of posterior midline is a
gunshot exit wound with a hole that measures 1/2" x 1/4".

In the anatomical position, the projectile travels downward and slightly left to right.

GUNSHOT WOUND B:

Located on the anterior right arm are two adjacent penetrating entrance gunshot wounds resulting from the same

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projectile. The lateral entry wound hole measures 3/16" x 3/16" with marginal abrasion that extends to 5/16"
predominantly in the 12 o'clock position. This wound results from the projectile core. Medial to this wound is a second
entrance wound that measures 1/4" x 1/8" with marginal abrasion that extends to 5/16" predominantly in the 11 o'clock
position. This wound results from the separated projectile jacket.

The wound track lacerates the skin, soft tissue and musculature of the right lower arm.

In the anatomical position, the projectiles travel from front to back. A small caliber, partially deformed lead core and
copper jacket fragments are retrieved from the arm.

GUNSHOT WOUND C:

Located on the right forearm is a large soft tissue defect that measures 2 1/2" x 2 3/4". There is extensive soft tissue
injury and radiographically there is a snow storm appearance indicating this is a high velocity gunshot wound. The
direction of the wound track cannot be established due to the nature of the injury pattern.

GUNSHOT WOUND D:

Located on the left lateral arm is an entrance gunshot wound with a hole that measures 1/8" x 1/8". The wound track
perforates the skin, soft tissue and musculature of the left arm. There is an exit wound located on the medial aspect of
the left arm that measures 1/4" x 3/16".

Located on the left lateral chest at a point 20 1/2" below the top of the head and 7" left of midline is a re-entry wound
with a hole that measures 1/8" x 1/8" with associated marginal abrasion that extends to 3/16" x 3/16" predominantly in
the 10 o'clock position.

The wound track perforates the skin, soft tissue and musculature of the left chest, fractures left rib #9 laterally,
perforates the lower lobe of the left lung, the diaphragm, the liver, the stomach, lacerates the left kidney, fractures left
rib #12 posteriorly and perforates the musculature, soft tissue and skin of the left lower back. Associated injuries
include left hemothorax and hemoperitoneum.

Located on the left lower back at a point 23" below the top of the head and 2" left of posterior midline is an exit wound
that measures 1/4" x 1/8" with ragged margins.

In the anatomical position, the wound track travels left to right, downward and slightly front to back.

GUNSHOT WOUND E:

Located on the posterior lateral left elbow is an entrance gunshot wound with a hole that measures 1/8" x 1/8".

The projectile perforates the skin and soft tissue of the left arm in a very shallow tangential wound track.

Located on the posterior, medial left elbow adjacent to the entrance wound is an exit wound that measures 3/4" x 1/2".

In the anatomical position, the wound track travels left to right.

GUNSHOT WOUND F:

Located on the posterior left hand is a grazing gunshot wound that measures 1" x 1/4". The wound track lacerates the
skin and soft tissue of the posterior left hand. The direction of the wound track is difficult to assess due to the
superficial nature of this injury. This injury may represent a separate gunshot wound or may be a part of another
gunshot wound track.

GUNSHOT WOUND G:

Located on the posterior left hand is a grazing gunshot wound that measures 1/4" x 1/2". The wound track lacerates the

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skin and soft tissue of the posterior left hand. The direction of the wound track is difficult to assess due to the
superficial nature of this injury. This injury may represent a separate gunshot wound or may be part of another gunshot
wound track.

GUNSHOT WOUND H:

Located on the left lateral chest at a point 22 1/2" below the top of the head and 6 1/2" left of midline is an entrance
gunshot wound with a hole that measures 1/8" x 1/8" with marginal abrasion that extends to 3/16" x 3/16"
predominantly in the 10 o'clock position.

The wound track perforates the skin, soft tissue of the left chest wall, perforates the diaphragm, the spleen, liver,
stomach, fractures left rib #10 and fractures the margin of the right lower rib cage and perforates the musculature, soft
tissue and skin of the right chest. Associated injuries include hemoperitoneum.

Located on the right anterior chest at a point 21" below the top of the head and 2 1/2" right of midline is an exit wound
that measures 3/16" x 1/8" with irregular borders and ragged margins.

In the anatomical position the wound track travels left to right and slightly back to front.

GUNSHOT WOUND I:

Located on the left shoulder is an entrance gunshot wound with a hole that measures 1/4" x 1/4". Immediately adjacent
to this entry wound is an exit wound that measures 2" x 1/2". The wound track is tangential and superficial and results
in skin and soft tissue injury.

In the anatomical position the projectile travels front to back.

GUNSHOT WOUND J:

Located on the left chest is an entrance gunshot wound with a hole that measures 1/8" x 1/8" with marginal abrasion
and extends to 3/8" x 3/8" predominantly in the 12 o'clock position.

The wound track perforates the skin, soft tissue and musculature of the left chest, enters the left pleural cavity between
anterior left ribs #4 and 5, perforates the left lung, the pericardium, the left ventricle of the heart, the diaphragm, and
fractures left rib and vertebral body #12 perforating the skin and soft tissue of the right back. Associated injuries
include left hemothorax and hemopericardium.

Located on the right back at a point 22" below the top of the head and 2 1/2" right of posterior midline is an exit wound
that measures 1/4" x 3/8" that exhibits irregular borders and ragged margins.

In the anatomical position, the projectile travels front to back, left to right and downward.

GUNSHOT WOUND K:

Located on the left chest at a point 17" below the top of the head and 2 1/4" left of midline is an entrance gunshot wound
with a hole that measures 1/8" x 1/8" with marginal abrasion that extends to 3/8" predominantly in the 2 o'clock
position. This entrance wound is irregular suggesting the projectile struck an intermediate object.

The wound track perforates the skin, soft tissue and musculature of the left chest, and fractures left rib #6 anteriorly. A
deformed metal fragment is recovered from the chest wall.

In the anatomical position, the projectile travels left to right and front to back.

GUNSHOT WOUND L:

Located on the right chest at a point 18" below the top of the head and 1 1/2" right of midline is an entrance gunshot

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wound with a hole that measures 3/8" x 1/4". There is marginal abrasion that extends to 1/2" x 1/4" predominantly in
the 2 o'clock position.

The wound track perforates the skin, soft tissue and musculature of the right chest, fractures right anterior ribs #5 and
6, perforates the right lung, the right lobe of liver, the right kidney, and fractures right posterior ribs #8 and 9. The
projectile comes to rest in the musculature of the right posterior chest wall. A partially deformed small caliber projectile
is recovered from the right chest wall. Associated injuries include right hemothorax.

In the anatomical position, the projectile travels left to right, front to back, and downward.

GUNSHOT WOUND M:

Located on the right arm and chest are grazing gunshot wounds on a similar linear path. The direction is difficult to
assess due to the superficial and tangential nature of the wounds. The projectile lacerates the skin and soft tissue of the
right arm and upper chest.

GUNSHOT WOUND N:

Located on the left head at a point 6" below the top of the head and 5" left of midline is an entrance gunshot wound with
a hole that measures 1/2" x 1/2".

The wound track perforates the skin, soft tissue and musculature of the left head, fractures the left mandible with
inward bevelling, fractures the base of the skull, fragments the brainstem and cerebellum, perforates the right occipital
lobe, and fractures the posterior skull. The projectile comes to rest between the skull and scalp of the posterior head
where a partially deformed small caliber projectile is recovered. Associated injuries include lacerations of the scalp from
the temporary pressure cavity and a laceration of the left temporal lobe from the associated skull fractures.

In the anatomical position, the projectile travels left to right, front to back, and slightly upward.




DISPOSITION OF CLOTHING AND PERSONAL EFFECTS
The following items are released with the body
None.
The following items are preserved as evidence
The following items are collected at autopsy and preserved as evidence. They are released to A. Humphrey of the Wake
County CCBI on February 11, 2011.

Clothing
Bag: necklace, electronics, money, bracelet
Projectile fragments
Projectile, right rib cage (GSW L)
Projectile, head (GSW N)
Projectile, right arm (GSW B)
Blood card



PROCEDURES
Radiographs



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Radiographs of the head, chest, abdomen and upper extremities reveal multiple radio-opaque foreign objects as well as
multiple areas with a radio-opaque snow storm appearance.

INTERNAL EXAMINATION
Body Cavities
No adhesions are present.
Cardiovascular System
Heart Weight          270 grams
The coronary arteries arise normally, follow the usual distribution and are widely patent, without evidence of significant
atherosclerosis or thrombosis. The chambers and valves bear the usual size-position relationships. The myocardium
shows no evidence of acute infarction or scarring. The aorta and its major branches are intact without significant
atherosclerosis.
Respiratory System
Right Lung Weight           310 grams
Left Lung Weight           280 grams
Examination of the soft tissues of the neck including the strap muscles and large vessels reveals no abnormalities. The
hyoid bone and laryngeal cartilages are intact. The larynx is clear. The lingual mucosa is intact; the underlying
musculature is devoid of hemorrhage. The upper and lower airways are free of debris and foreign material. The lungs
are normally formed. Except as noted, the parenchyma of both lungs shows moderate congestion without obvious
consolidation or focal lesions. The pulmonary arteries are free of thrombi or emboli.
Gastrointestinal System
Except as noted, the GI tract is intact throughout its length and is unremarkable. The stomach contains approximately
100 ml of partially digested food.
Liver
Liver Weight         1140 grams
Except as noted, the parenchyma is unremarkable. The gallbladder contains approximately 5 ml of bile and the
extrahepatic biliary tree is patent.
Spleen
Spleen Weight        80 grams
The spleen is normally formed.
Pancreas
Normal size, shape and consistency.
Urinary
Right Kidney Weight           100 grams
Left Kidney Weight          120 grams
The kidneys are of normal size and shape. The capsules strip with ease from the underlying smooth cortical surfaces.
Except as noted, the renal architecture is intact.
Reproductive
Grossly unremarkable.
Endocrine
The thyroid gland and bilateral adrenal glands are grossly unremarkable.
Neurologic
Brain Weight          1270 grams
Reflection of the scalp reveals the previously described injuries. The leptomeninges are thin, delicate and congested.
Except as noted, the cerebral hemispheres are unremarkable. Except as noted, coronal sections reveal normal
architecture.
Skin
Except as noted, grossly unremarkable.
Immunologic System
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Grossly unremarkable.
Musculoskeletal System
Except as noted, grossly unremarkable.

MICROSCOPIC EXAMINATION
Cardiovascular
A section of heart shows no significant histologic abnormality.
Respiratory
Sections of lung (2) show atelectasis and pulmonary hemorrhage.
Liver
A section of liver shows no significant histologic abnormality.
Genitourinary
A section of kidney shows no significant histologic abnormality.
Neurologic
A section of brain shows vascular congestion.

SUMMARY AND INTERPRETATION
The decedent was a 19-year-old male who was shot by police.

The autopsy examination reveals fourteen gunshot wounds. There is a penetrating gunshot wound of the head resulting
in mandible and skull fractures and lacerations of the brain and brainstem. There are four perforating gunshot wounds
of the left chest resulting in rib and vertebra fractures, perforation of the left lung, pericardium, heart, diaphragm and
stomach, laceration of the liver, spleen and left kidney, hemopericardium, hemoperitoneum, left hemothorax and
retroperitoneal hemorrhage. There is a penetrating gunshot wound of the left chest resulting in a rib fracture. There is a
penetrating gunshot wound of the right chest resulting in rib fractures, perforation of the right lung, laceration of the
liver and right kidney, right hemothorax, hemoperitoneum and retroperitoneal hemorrhage. There are two gunshot
wounds involving each of the arms resulting in skin and soft tissue injuries. There are three grazing gunshot wounds
involving the left hand, right arm and chest. There are superficial abrasions and lacerations of the chest and upper
extremities.

Toxicology studies are negative for ethanol in aorta blood.

Based on the history and investigative findings, it is my opinion that the cause of death in this case is multiple gunshot
wounds of the head and chest.

DIAGRAMS
1. Adult (front/back)
2. Profile (left/right)
3. Skull (front/back, L/R, top/bottom)




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